Cov lus nug nquag
HACCP tsev
Kev Pabcuam Kev Mloog Lus Rau Cov Me Nyuam
Hauv nplooj ntawv no:
Rau Tsev Neeg
- Txoj Haujlwm Saib Xyuas
- Cov txiaj ntsig tau them
- Kev tsim nyog
- Thov Kev Pabcuam
- Kev Tshawb Fawb Kev Tsim Nyog Txhua Xyoo
- Kev thov rov hais dua
- Nrhiav tus kws kho mob
- Kev kho mob
Rau Cov Kev Pabcuam
- Phau ntawv muab kev pab
- Daim Ntawv Sau Npe
- Cov txiaj ntsig tau them
- Kev kho mob
Rau Tsev Neeg
Txoj Haujlwm Saib Xyuas
1. Qhov Kev Pab Cuam Them Nqi Rau Cov Menyuam Yaus Rau Cov Khoom Siv Hnov Lus Yog Dab Tsi?
Qhov Kev Pab Them Nqi Rau Cov Menyuam Yaus (HACCP) yog ib qho kev pab cuam hauv xeev uas muab kev pab them nqi rau cov khoom siv pab them nqi thiab cov txiaj ntsig zoo sib xws rau cov menyuam yaus thiab cov hluas hauv California uas tsim nyog hnub nyoog qis dua 21 xyoo uas xav tau cov khoom siv pab them nqi tab sis tsis muaj kev pab them nqi (lossis muaj kev pab them nqi tsawg heev), suav nrog kev pab them nqi ntxiv rau cov neeg thov uas lwm qhov kev pab them nqi kho mob muaj qhov txwv ntawm $ 1,500 lossis tsawg dua rau cov khoom siv pab them nqi.
2. Kuv tus menyuam muaj kev pov hwm ib nrab rau cov khoom siv pab hnov lus. Puas yog lawv tsim nyog tau txais HACCP?
Yog tias koj tus menyuam lwm yam kev pov hwm kho mob raug txwv rau $ 1,500 lossis tsawg dua rau cov khoom siv pab hnov lus, lawv yuav tuaj yeem thov kev pov hwm ntxiv los ntawm HACCP.
3. Puas muaj tus nqi koom nrog hauv qhov kev pab cuam no?
Tsis muaj nqi koom nrog HACCP.
4. Cov ntaub ntawv HACCP muaj ua lus dab tsi?
Cov ntaub ntawv tseem ceeb ntawm HACCP qhov kev pab cuam muaj nyob rau hauv tib hom lus.
Cov txiaj ntsig tau them
1. Cov txiaj ntsig uas HACCP them suav nrog:
- Cov khoom siv hnov lus, suav nrog cov cuab yeej pabcuam mloog (ALDs) thiab cov khoom siv pob txha pob txha pob txha (BCHDs)
- Cov khoom siv, suav nrog pob ntseg pwm thiab pob ntseg pob ntseg
- Cov khoom siv kho mob uas tsim nyog rau kev hnov lus
- Kev pab cuam hnov lus hais txog audiology thiab cov kev pab kws kho mob
2. Puas yog HACCP xa kuv tus menyuam cov khoom pab hnov lus rau peb ncaj qha?
Tsis yog. HACCP them nyiaj rov qab rau Medi-Cal cov kws kho mob, xws li kws kho mob, rau kev xa cov khoom siv hnov lus rau cov tswv cuab.
3. Puas muaj kev txwv rau hom khoom siv pab hnov lus uas qhov kev pab cuam them?
HACCP suav nrog ntau yam khoom siv pab hnov lus, suav nrog cov khoom siv digital thiab cov khoom siv programmable, cov khoom siv pab mloog lus (ALDs), thiab cov khoom siv pab hnov lus uas siv pob txha los ntawm saum npoo av (BCHDs), qhov twg tsim nyog rau kev kho mob rau tus menyuam uas tau sau npe kawm cov kev xav tau.
4. Yuav ua li cas yog tias kuv tus menyuam loj hlob dhau lawv cov khoom siv pab hnov lus?
Cov menyuam yaus loj hlob sai! Thaum koj tus menyuam loj hlob dhau lawv cov khoom siv pab hnov lus, lossis yog tias lawv cov khoom siv pab hnov lus tam sim no tsis ua tau raws li lawv cov kev xav tau kev kho mob lawm, thov nrog koj tus menyuam tus kws kho mob/kws kho mob hnov lus koom nrog HACCP los txheeb xyuas cov khoom siv tshiab twg uas tsim nyog rau koj tus menyuam.
Just like with an initial set of hearing aids, their provider will then send us a Treatment Authorization Request (TAR) letting us know what’s going on (usually with clinical reports) and which hearing aid(s) they recommend for your child’s medical needs.
5. Qhov kev pab cuam no puas them rau cov roj teeb pab hnov lus?
Yog lawm, HACCP cov txiaj ntsig tau txais txiaj ntsig suav nrog cov roj teeb pab hnov lus zoo, nrog rau cov roj teeb zinc cua rau BCHDs.
6. Kuv tus menyuam xav tau lub cuab yeej pab hnov lus uas siv pob txha los pab hnov lus (BCHD). Cov no puas them?
Cov BCHDs uas hnav rau saum npoo raug them thaum muaj kev kho mob tsim nyog. BCHDs xav tau kev pom zoo los ntawm Daim Ntawv Thov Kev Tso Cai Kho Mob (TAR). Cov ntaub ntawv no yuav raug txiav txim siab los ntawm tus neeg zov me nyuam ntawm koj tus menyuam thiab ntxiv rau daim ntawv thov kev pom zoo.
Kev tsim nyog
1. Leej twg tsim nyog tau txais HACCP?
HACCP muaj rau cov menyuam yaus thiab cov hluas hnub nyoog qis dua 21 xyoos, uas:
- Nyob hauv California, tsis hais txog kev nkag tebchaws.
- Muaj ib tus neeg xa mus rau tus kws kho mob kom tau txais cov khoom siv pab hnov lus/kev ntsuam xyuas cov khoom siv pab hnov lus (qhov chaw xaiv tau: Daim ntawv xa mus rau tus kws kho mob rau kev sau npe rau tus neeg mob (DHCS 8482)) LOS YOG daim ntawv sau tshuaj rau cov khoom siv pab hnov lus.
- Muaj cov nyiaj tau los hauv tsev neeg txog li 600 feem pua ntawm Federal Poverty Level (FPL).
- Are not enrolled in, or income-eligible for, Medi-Cal.
- Do not have hearing aid coverage through California Children’s Services (CCS).
- Tsis muaj ntawv pov hwm kev noj qab haus huv LOSSIS muaj ntawv pov hwm kev noj qab haus huv uas tsis them nyiaj mloog lus lossis tsuas yog them txog $ 1,500 rau tus nqi ntawm cov khoom pab hnov lus.
2. Puas muaj tej yam yuav tsum tau ua kom tau nyiaj los thiaj li tsim nyog rau qhov kev pab cuam no?
Yog, cov nyiaj tau los hauv tsev neeg yuav tsum siab dua qhov kev txiav txim siab tsim nyog Medi-Cal rau tus neeg thov hnub nyoog thiab lub nroog nyob tab sis yuav tsum tsis pub tshaj 600 feem pua ntawm Federal Poverty Level (FPL).
- Rau cov hnub nyoog 0-18, kev tsim nyog tau txais nyiaj tau los rau Medi-Cal suav nrog tsev neeg cov nyiaj tau los thiab suav nrog 266 feem pua ntawm FPL, lossis 322 feem pua ntawm FPL rau cov menyuam yaus nyob hauv Santa Clara, San Mateo, lossis San Francisco Counties.
- Rau cov hnub nyoog 19-21, cov nyiaj tau los tsim nyog rau Medi-Cal feem ntau suav nrog cov nyiaj tau los hauv tsev neeg txog li 138 feem pua ntawm FPL, yog li ntau dua 138 thiab tsawg dua 600 feem pua yog qhov txiav tawm rau pawg hnub nyoog no.
- Income limits may be higher in certain circumstances, such as pregnancy.
Cov neeg thov uas ua tau raws li cov qauv tsim nyog rau Medi-Cal cov nyiaj tau los yuav raug xa mus rau Medi-Cal rau kev them nqi rau cov khoom siv pab hnov lus. Yog xav paub ntxiv, thov mus saib HACCP's Program Income Eligibility Comparison (PDF) lossis Eligibility webpage.
3. Qhov kev pab cuam no them tus nqi ntawm cov khoom siv pab hnov lus ntev npaum li cas?
Kev sau npe rau hauv HACCP siv tau txog li 12 lub hlis ib zaug thiab tuaj yeem txuas ntxiv tau txhua xyoo thaum lub sijhawm Tshuaj Xyuas Txhua Xyoo (AER).
Exception: When a member turns 21, that member’s HACCP coverage expires at the end of their birthday month.
4. Kuv tus menyuam puas tuaj yeem tau txais kev pab cuam los ntawm cov khoom siv pab hnov lus yog tias lawv twb muaj kev pov hwm lawm?
Tsuav koj tus menyuam lwm qhov kev pab them nqi kho mob raug txwv rau $ 1,500 lossis tsawg dua rau cov khoom siv hnov lus, lawv yuav muaj peev xwm thov tau kev pab ntxiv los ntawm HACCP.
HACCP offers coverage for eligible children and youth who have health insurance that does not cover hearing aids, as well as supplemental coverage where their insurance only covers up to $1,500 per year toward the cost of hearing aids. Your provider must bill your insurance first.
5. Kuv tus menyuam tsim nyog rau CCS. Peb puas yuav tsum hloov mus rau HACCP?
Tsis yog, CCS muab cov txiaj ntsig zoo rau cov khoom siv pab hnov lus, nrog rau kev them nqi dav dua rau cov kev pabcuam cuam tshuam. Yog tias koj tus menyuam tau sau npe rau hauv CCS kev pab them nqi rau qhov mob ntsig txog kev hnov lus, lawv tsis tsim nyog rau HACCP.
Thov Kev Pabcuam
1. Kuv yuav thov kev pab them nqi li cas?
HACCP muaj ntau txoj hauv kev los thov kev pab them nqi:
- Lub Rooj Sib Tham Thov Online: Nkag mus rau hauv https://haccp.dhcs.ca.gov kom ua tiav koj daim ntawv thov. Muab cov ntaub ntawv xav tau txuas nrog kom ruaj ntseg thiab xa mus rau HACCP sai sai rau kev tshuaj xyuas qhov tsim nyog.
- Printable Application: Download and complete an electronic version of the HACCP Application (fillable PDF), print, sign, and mail or fax your completed form and required documents to HACCP.
- Paper Application Form: Interested families can call (833) 956-2878 to request an HACCP paper application mailed directly to you.
Yog tias ua ntawv thov rau daim ntawv nyuaj (xws li cov ntawv luam tawm lossis ntawv), cov tsev neeg tuaj yeem xa lawv daim ntawv thov mus rau HACCP los ntawm:
- Upload mus rau: www.dhcs.ca.gov/haccp (Nyem "Chat with us..." nyob rau hauv kaum hauv qab ntawm koj lub vijtsam thiab xaiv "Upload Documents.")
- Fax: Toll-free to (833) 774-2227
- Xa ntawv:
Kev Pabcuam Kev Mloog Lus Rau Cov Me Nyuam
PO ib 138000
Sacramento, CA 95813
2. Yuav tsum muaj cov ntaub ntawv dab tsi thiaj li thov tau rau qhov kev pab cuam no?
Cov ntawv thov yuav tsum muaj cov ntaub ntawv kho mob, nyiaj txiag, thiab kev noj qab haus huv (yog tias tsim nyog) cov ntaub ntawv:
Daim ntawv sau ntawv pab mloog lus lossis tus kws kho mob xa mus rau txhua tus menyuam lossis cov hluas uas thov kev pab:
- A hearing or medical professional’s letter referring the applicant for hearing aids or hearing aid evaluation, or
- Daim ntawv xa mus rau tus kws kho mob rau kev sau npe rau tus neeg mob (DHCS 8482) uas tau ua tiav lawm, lossis
- Daim ntawv tshuaj pab hnov lus siv tau.
Cov ntaub ntawv rau txhua tus neeg nyob hauv tsev uas muaj txoj haujlwm:
- Daim ntawv them nyiaj tsis ntev los no (los ntawm tsawg dua 45 hnub dhau los), lossis
- Daim ntawv kos npe, sau hnub tim los ntawm koj qhov chaw ua haujlwm qhia koj cov nyiaj tau los tag nrho thiab koj tau them ntau npaum li cas, lossis
- Last year’s federal income tax return.
Cov ntaub ntawv rau txhua tus neeg nyob hauv tsev uas yog tus kheej ua haujlwm:
- Daim ntawv them se nyiaj tau los ntawm tsoomfwv xyoo tas los nrog Schedules C, C-EZ, lossis F, OR
- Daim ntawv kos npe, kos npe rau cov nyiaj tau los thiab poob rau 3 lub hlis dhau los.
If you have income from Disability, Pensions, Retirement, Social Security, Veteran’s Benefits, Worker’s Compensation, or Unemployment, send a copy of:
- Tsab ntawv muab khoom plig, kos, lossis daim ntawv qhia nyiaj hauv tuam txhab uas qhia ncaj qha rau cov nyiaj them tsis ntev los no.
Rau txhua tus neeg thov uas muaj ntawv pov hwm kev noj qab haus huv, xa ib daim qauv ntawm:
- Kev tsis lees paub daim ntawv ceeb toom rau kev pab mloog lus los ntawm lawv txoj kev pab them nqi kho mob, lossis
- Cov Pov Thawj ntawm Kev Them Nqi rau lawv txoj kev npaj pov hwm kev noj qab haus huv xyoo no (qhia lub npe ntawm tus neeg thov kev pab ua tus neeg pov hwm lossis nrog daim npav pov hwm kev noj qab haus huv lossis lwm yam zoo sib xws uas qhia tus neeg thov kev pab ua ib tug tswv cuab ntawm txoj kev npaj ntawd).
- Thov hu rau tus xov tooj no: (833) 956-2878 thiab tus neeg sawv cev yuav tuaj yeem coj koj. Koj tuaj yeem sib tham nrog tus neeg sawv cev hauv online.
3. Kuv tus menyuam yuav ua li cas thiaj tau txais kev pab them nqi kom tau daim ntawv yuav khoom siv pab hnov lus?
Yog tias koj tus menyuam tseem tsis tau muaj daim ntawv yuav khoom siv pab hnov lus tab sis muaj daim ntawv xa mus rau tus kws kho mob kom lawv soj ntsuam seb puas muaj cov khoom siv pab hnov lus (piv txwv li, los ntawm lawv tus kws kho mob menyuam yaus lossis tus kws kho mob hauv tsev kawm ntawv), koj tuaj yeem muab daim ntawv xa mus rau tus kws kho mob rau cov khoom siv pab hnov lus rau daim ntawv thov es tsis txhob muab daim ntawv yuav khoom siv pab hnov lus. Thaum koj sau npe lawm, HACCP yuav them rau cov kev pabcuam ntawm kws kho mob xws li kev kuaj mob ntawm tus kws kho mob pob ntseg rau daim ntawv yuav tshuaj pab hnov lus.
4. Kuv yuav nrhiav tau cov lus piav qhia txog kev them nqi ntawm kuv txoj kev npaj pov hwm li cas?
You should have received an explanation of coverage (EOC) document when you first enrolled in your plan. You can also call your health plan’s member services to request they send you a copy.
5. Nyob rau hauv daim ntawv thov kuv yuav tsum sau kuv tus kheej ua niam txiv/tus saib xyuas nyob qhov twg?
Yog tias koj yog tus thawj hu rau daim ntawv thov, thov sau koj tus kheej hauv Tshooj 1.
6. Kuv yuav tsum sau npe leej twg hauv Ntu 2 ntawm Daim Ntawv Thov HACCP? Yog tias tsuas muaj ib tug xwb uas xav tau kev pab cuam hnov lus, kuv yuav tsum sau pes tsawg tus menyuam?
Rau Ntu 2, thov sau cov menyuam yaus uas xav tau kev pab cuam mloog lus xwb
7. Kuv yuav teev leej twg hauv Tshooj 3 (Tsev Neeg)?
• Thov sau tag nrho cov tswv cuab hauv tsev neeg uas nyob hauv tsev, suav nrog cov menyuam yaus hnub nyoog qis dua 21 xyoos, niam txiv/niam tais yawm txiv, lossis tus txij nkawm ntawm ib tug tub hluas lossis poj niam cev xeeb tub uas nyob hauv tsev. Tsis txhob teev cov phauj, txiv ntxawm, ntxhais xeeb ntxwv, tub xeeb ntxwv, lossis yawg koob yawm txwv.
• Kuv puas yuav tsum sau kuv tus kheej?
◦ Yog tias koj nyob hauv tsev nrog tus/cov menyuam uas thov HACCP thiab koj yog ib tug ntawm cov tswv cuab hauv tsev neeg uas tau teev tseg, yog.
• Kuv yuav tsum sau kuv cov menyuam pes tsawg tus yog tias tsuas muaj ib tus xwb uas xav tau kev pab?
◦ Rau Ntu 3, thov sau tag nrho cov menyuam yaus hnub nyoog qis dua 21 xyoo uas nyob hauv koj tsev neeg. (Qhov no txawv ntawm Ntu 2.)
• Kuv yuav teev cov tswv cuab ntxiv rau qhov twg?
◦ Yog tias koj tsev neeg muaj ntau tshaj plaub tus neeg hauv tsev neeg uas tau piav qhia rau Ntu 3, thov sau lawv lub npe thiab cov ntaub ntawv rau ntawm daim ntawv sib cais. Yog tias koj xav tau, koj tuaj yeem ntaus ntawv thiab luam tawm daim ntawv thib ob ntawm nplooj ntawv 5-6 ntawm daim ntawv thov rau koj tsev neeg ntxiv.
8. Yuav ua li cas yog tias daim ntawv thov rau HACCP ntawm kuv tus menyuam raug pom zoo?
Nyob rau hnub koj tau txais kev pom zoo rau HACCP, peb yuav xa daim npav HACCP ID rau koj uas koj tuaj yeem qhia koj tus kws kho mob Medi-Cal rau npe kom tau txais cov kev pab them nqi HACCP, xws li cov khoom pab mloog lus lossis cov kev pabcuam thiab cov khoom siv.
Additionally, HACCP conducts an Annual Eligibility Review (AER) each year, at the anniversary of your program enrollment, to assist you with extending your coverage for another twelve months. We will let you know ahead of time which updated documents are needed to stay enrolled in HACCP.
9. Yuav ua li cas yog tias daim ntawv thov rau HACCP ntawm kuv tus menyuam raug tsis lees paub?
If you do not qualify for HACCP, you will receive a letter explaining which eligibility criteria were not met, and how to request reconsideration of your application if you feel there was a misunderstanding or if your circumstances have changed. In some cases, enrollment into HACCP may be denied because your child may qualify for another program, such as Medi-Cal.
Kev Tshawb Fawb Kev Tsim Nyog Txhua Xyoo
1. Kev Tshuaj Xyuas Txog Kev Tsim Nyog Txhua Xyoo (AER) yog dab tsi?
Kev Tshuaj Xyuas Txog Kev Tsim Nyog Txhua Xyoo (AER) yog kev ntsuam xyuas txhua xyoo uas HACCP ua los txiav txim siab seb txhua tus tswv cuab uas koom nrog hauv qhov kev pab cuam puas tuaj yeem txuas ntxiv tau txais kev pab them nqi rau cov khoom siv pab hnov lus thiab cov kev pabcuam cuam tshuam rau ib xyoos ntxiv. Yog xav paub ntxiv txog cov txheej txheem AER, mus saib HACCP's Apply for Coverage webpage.
2. Leej twg yuav tsum xa daim AER?
Each member must complete their AER in order to renew their HACCP coverage.
3. Cov kauj ruam twg rau kev ua tiav AER?
Txhawm rau kom muaj kev tshuaj xyuas kev tsim nyog tau zoo, ua raws li cov kauj ruam no:
- Sau daim ntawv thov HACCP AER (DHCS 8470).
- Muab cov ntawv luam tam sim no ntawm cov ntaub ntawv nyiaj txiag xav tau.
- Submit current year health insurance plan documents.
Note: Hearing aid prescription/referral is not required during AER.
4. Kuv yuav xa kuv cov ntaub ntawv AER li cas?
You can submit your AER materials through any of the following methods:
- Upload: Online ntawm www.dhcs.ca.gov/haccp (Nyem "Chat with us..." nyob rau hauv kaum hauv qab ntawm koj lub vijtsam thiab xaiv "Upload Documents.")
- Fax: Toll-free to (833) 774-2227
- Xa ntawv:
Kev Pabcuam Kev Mloog Lus Rau Cov Me Nyuam
PO ib 138000
Sacramento, CA 95813
Los yog, cov tswv cuab tuaj yeem kos npe rau hauv HACCP's Online Application Portal ntawm haccp.dhcs.ca.gov kom ua tiav thiab xa daim ntawv thov tshiab.
5. Puas muaj hnub kawg rau kev xa cov ntaub ntawv thov AER?
Yes, it is essential to ensure that HACCP receives your application materials by the AER renewal date. Please make sure to submit all required documents on time to avoid any interruptions in your coverage.
6. Puas yog daim ntawv yuav tshuaj/xa mus rau lub tshuab pab hnov lus puas tsim nyog rau AER?
No, a hearing aid prescription or referral is not required for the AER.
7. Yog tias kuv ua tsis tiav cov txheej txheem AER, yuav ua li cas?
Failure to complete the AER process may result in the discontinuation of coverage for hearing aids and related services through HACCP. It is crucial to comply with the AER requirements to maintain continuous coverage.
8. Kuv puas tuaj yeem thov rov hais dua yog tias kuv txoj cai tsis raug pom zoo thaum lub sijhawm AER?
Yog tias koj txoj cai tsis raug pom zoo thaum lub sijhawm koj AER, koj muaj cai xaiv los thov rov hais dua qhov kev txiav txim siab. Yog xav paub ntxiv txog cov txheej txheem thov rov hais dua, mus saib HACCP lub vev xaib Thov Kev Pab Them Nqi , hu rau HACCP ntawm (833) 956-2878, lossis tham nrog peb hauv online (Nyem "Tham nrog peb..." nyob rau hauv qab ces kaum ntawm koj lub vijtsam.).
9. Kuv yuav tsum tau mus dhau AER ntau npaum li cas?
AER tau ua txhua xyoo. Yog li, koj yuav tsum tau muab cov ntaub ntawv tam sim no txhua xyoo los txuas ntxiv koj qhov HACCP kev pab them nqi rau kaum ob lub hlis tom ntej.
Kev zam: Thaum ib tug tswv cuab muaj hnub nyoog 21 xyoos, tus tswv cuab ntawd txoj kev pab them nqi HACCP yuav tas sij hawm thaum kawg ntawm lawv lub hlis yug.
10. Kuv yuav nrhiav tau cov ntaub ntawv ntxiv lossis kev pab txog cov txheej txheem AER qhov twg?
Yog xav paub ntxiv lossis xav tau kev pab txog cov txheej txheem AER, hu rau HACCP ntawm (833) 956-2878 lossis tham nrog peb hauv online (Nyem "Tham nrog peb..." nyob rau hauv qab ces kaum ntawm koj lub vijtsam.). Koj kuj tseem tuaj yeem nrhiav cov ntaub ntawv koj xav tau hauv cov lus qhia ntawm daim foos.
Kev thov rov hais dua
1. Kuv cov cai thov rov hais dua yog dab tsi thiab kuv tuaj yeem nrhiav cov ntaub ntawv ntxiv txog yuav thov rov hais dua qhov twg?
Yog tias koj txoj cai raug tsis lees paub thaum koj thov rau npe rau hauv HACCP lossis thaum lub sijhawm koj AER, koj muaj kev xaiv los thov rov hais dua qhov kev txiav txim siab. Cov ntaub ntawv ntxiv txog cov txheej txheem thov rov hais dua muaj nyob rau ntawm HACCP lub vev xaib Thov Kev Pab Them Nqi . Yog xav tau kev pab ntxiv, hu rau HACCP ntawm (833) 956-2878 lossis tham nrog peb hauv online (Nyem "Tham nrog peb..." nyob rau hauv qab ces kaum ntawm koj lub vijtsam.).
2. Kuv puas tuaj yeem thov kom rov hais dua yog tias kuv txoj cai, kev sau npe, lossis kev rho npe raug ua txhaum txoj cai ntawm qhov kev pab cuam?
Koj tuaj yeem sau ntawv thov kom rov hais dua tsis pub dhau 60 hnub ntawm qhov kev txiav txim, ua tsis tiav, lossis tau txais tsab ntawv ceeb toom ntawm kev txiav txim siab raug thov rov hais dua. Ib qho kev thov rov hais dua yuav tsum muaj xws li:
- A copy of the letter regarding a decision being appealed or a written statement of the action or failure to act,
- Ib nqe lus los ntawm koj hais txog dab tsi yog kev sib cav, thiab
- Qhov kev thov daws teeb meem thiab lwm yam ntaub ntawv ntsig txog.
Yog tias qhov kev thov rov hais dua tsis tiav, nws tsis hais txog tsawg kawg yog ib qho ntawm peb qhov teeb meem teev saum toj no, lossis tau txais dhau lub sijhawm tshwj xeeb (piv txwv li 60 hnub), koj tsis muaj cai thov rov hais dua tag nrho thiab tus neeg muag khoom tswj hwm yuav tshuaj xyuas qhov kev thov thiab ua raws li Kev Tshuaj Xyuas Kev Pabcuam.
3. Yuav siv sijhawm ntev npaum li cas rau kev txiav txim siab dua kom ua tiav?
Appeals received will be reviewed within 4 business days. Once a determination is made that the dispute from you is an appeal, the administrative vendor must forward the appeal to DHCS within 5 business days.
Exceptions: The following will be forwarded to DHCS if:
- The issue includes an outstanding medical bill(s) incurred due to a dispute on the effective date of coverage.
- The issue is of a sensitive nature and the referral has been approved (i.e. request from legislative member or request pertains to a policy issue currently under review or pending revision).
- Tus neeg thov xa daim ntawv tsis txaus siab uas tsis ua raws li ib qho ntawm peb qhov laj thawj uas tau hais los saum toj no rau zaum ob.
Once DHCS makes a determination to enroll, disenroll, or other actions, the administrative vendor will be notified. The administrative vendor must process the request within 2 business days and provide confirmation to DHCS.
4. Kuv xa kuv cov ntawv thov rov hais dua mus rau qhov twg?
Cov kev thov rov hais dua tuaj yeem xa tau ob txoj kev:
- Xa email rau HACCP@maximus.com; los yog
- Xa ib tsab ntawv mus rau:
Department of Health Care Services
Attn: HACCP
P.O. Box 138000
Sacramento, CA 95813
Nrhiav tus kws kho mob
1. Kuv puas xaiv tau qhov twg los txais cov kev pabcuam los ntawm qhov kev pab cuam no?
Participants may select from Fee-For-Service (FFS) Medi-Cal enrolled audiologists, otolaryngologists (head and neck surgeons, including ENTs), and other hearing-related medical providers throughout the state, who are eligible to provide HACCP-covered services within their scope of practice.
Yog xav paub ntxiv txog seb koj tus menyuam puas tseem yuav mus ntsib tau lawv tus neeg muab kev pab uas twb muaj lawm, lossis mus saib HACCP Provider Locator thiab nrhiav tus neeg muab kev pab uas koom nrog ze koj, mus saib HACCP's Find a Provider webpage. Cov kws kho mob tam sim no uas tsis tau sau npe rau Medi-Cal tuaj yeem thov ua tus kws kho mob uas tau sau npe.
2. Kuv nrhiav hauv HACCP Provider Locator, tab sis tsis pom muaj cov npe ntawm cov chaw muab kev pab nyob ze kuv. Koj xav li cas?
Thov koj siv HACCP Provider Locator los nrhiav tus neeg muab kev pab. Yog tias koj xav tau kev pab ntxiv los txheeb xyuas tus neeg muab kev pabcuam hauv koj qhov chaw nyob, thov hu rau HACCP ntawm (833) 956-2878 lossis tham nrog peb hauv online (Nyem "Tham nrog peb ..." nyob rau hauv qab ces kaum ntawm koj lub vijtsam
For HACCP members who are already established with a pediatric hearing aid provider, we recommend checking whether the current provider is already enrolled as a Medi-Cal provider.
3. Kuv tus menyuam tau sau npe rau hauv Kaiser Permanente txoj kev npaj kho mob. Thaum lawv tau txais kev pom zoo rau HACCP, lawv puas tuaj yeem tau txais lawv cov khoom siv pab hnov lus los ntawm lawv tus kws kho mob Kaiser?
California Qab Teb: HearUSA yog ib lub tuam txhab muab kev pab kho mob hauv network rau Kaiser Permanente Southern California cov phiaj xwm kho mob. Muaj ntau qhov chaw HearUSA koom nrog HACCP thiab tau teev nyob rau hauv HACCP Provider Locator.
Northern California: HACCP members who are enrolled in Kaiser Permanente Northern California health plans have access to in network Kaiser Permanente Hearing Centers. For assistance finding a provider, please visit the HACCP Provider Locator.
Kev kho mob
1. Yuav siv sijhawm ntev npaum li cas thiaj tau txais cov kev pabcuam los ntawm qhov kev pab cuam no?
New members generally receive their enrollment confirmation within ten days of completing their HACCP application (including all required documentation). The time to receive covered services varies depending on the provider selected. HACCP provides health coverage for specified benefits, but the reimbursement goes to the Medi-Cal enrolled provider – often audiologists or otolaryngologists (head and neck surgeons, including ENTs) – for providing the service to the HACCP member.
2. Cov niam txiv puas yuav tsum tau them nyiaj ntawm lawv tus kheej rau cov kev pabcuam uas HACCP them?
Tsis yog, cov chaw muab kev pab them nqi HACCP ncaj qha rau cov kev pab cuam, ib yam li lawv ua rau Medi-Cal/CCS. Thov nco ntsoov: Yog tias koj muaj ib feem ntawm txoj kev pab them nqi kho mob, koj tus kws kho mob yuav tsum tau them koj daim ntawv pov hwm ua ntej.
3. Puas xav tau kev tso cai los ntsib kuv tus kws kho mob hnov lus uas koom nrog HACCP?
While certain audiology services may require a TAR, providers may submit the TAR either before or after the appointment. As a result, the answer to this question depends on a particular audiologist’s billing policies.
4. Kuv cov menyuam tus kws kho mob koom nrog HACCP tab tom muaj teeb meem kom tau txais kev pom zoo rau Daim Ntawv Thov Kev Tso Cai Kho Mob.
Peb tuaj yeem muab kev txhawb nqa tshwj xeeb rau koj tus neeg muab kev pab. Cov neeg muab kev pab tuaj yeem xa email rau peb ncaj qha ntawm haccp@dhcs.ca.gov.
Rau Cov Kev Pabcuam
HACCP Muab Kev Pabcuam Phau Ntawv Qhia
1. Cov txheej txheem rau cov kws kho mob uas tseem tsis tau txais/sau npe rau hauv Medi-Cal/HACCP yog dab tsi?
Cov kws kho mob uas tseem tsis tau rau npe rau hauv Medi-Cal/HACCP tuaj yeem kawm paub ntau ntxiv thiab thov online los ua ib tus kws kho mob uas tau rau npe. Thaum twg Medi-Cal tau sau npe lawm, peb xav kom cov neeg muab kev pab cuam uas muab cov khoom siv pab hnov lus thiab cov kev pab cuam cuam tshuam koom nrog HACCP Provider Locator.
2. Tus kws kho mob hnov lus uas tsis yog tus muab kev pab Medi-Cal puas tseem tuaj yeem xa ib tug menyuam (piv txwv li, ib tug tub ntxhais kawm uas lawv txhawb nqa) mus rau HACCP?
Yes. The referring medical provider/hearing professional does not need to be Medi-Cal enrolled. Only the provider(s) submitting TARs and/or claims for HACCP reimbursement need to be enrolled in Fee-For-Service (FFS) Medi-Cal.
3. Cov kws kho mob yuav pab peb cov neeg mob sau npe rau hauv kev them nqi HACCP li cas?
Muaj ob lub luag haujlwm tseem ceeb hauv kev pab tus neeg mob hnub nyoog qis dua 21 xyoos hauv kev thov rau HACCP kev pab them nqi:
- Let your patient know about HACCP, and that we’re here to help them!
- Koj tuaj yeem muab daim ntawv qhia HACCP, daim ntawv tshaj tawm, lossis daim ntawv thov rau koj tus neeg mob, lossis xa lawv mus rau peb lub vev xaib ntawm www.dhcs.ca.gov, qhov chaw uas lawv tuaj yeem nrhiav tau ntau cov ntaub ntawv ntxiv txog HACCP them thiab txawm tias thov online.
- Yog tias koj tus neeg mob tsis muaj daim ntawv yuav tshuaj pab hnov lus uas siv tau tam sim no los muab nrog lawv daim ntawv thov, koj tuaj yeem muab daim ntawv xa mus rau lawv kom muab tso rau thaum lawv thov HACCP - los ntawm kev sau daim ntawv xa mus rau tus kws kho mob rau kev sau npe rau tus neeg mob lossis sau ntawv xa mus uas muaj cov hauv qab no:
- Lub npe ntawm tus neeg thov kev pabcuam HACCP
- Nqe lus hais tias qhov kev xa mus yog rau cov kev pab cuam hnov lus, cov kev pab cuam hnov lus, kev ntsuam xyuas kev hnov lus, lossis lwm yam kev pab cuam cuam tshuam txog kev hnov lus
- Koj lub npe thiab thaj chaw ntawm kev txawj ntse
- Kev xa mus yuav raug xa tawm los ntawm tus kws kho qhov muag, tus kws kho mob otolaryngologist, kws kho mob, kws kho mob, lossis lwm yam kev cob qhia / ntawv tso cai hnov lus lossis kws kho mob.
4. Cov kws kho mob puas ua tau daim ntawv thov rau lawv cov neeg mob?
Tsis yog, koj tus neeg mob (lossis lawv niam lawv txiv/tus saib xyuas, rau cov menyuam yaus uas tsis muaj kev ywj pheej) yuav tsum tsim lawv tus kheej lub npe nkag mus ruaj ntseg.
5. Puas yog kev sau npe rau hauv HACCP thiab kev tau txais daim npav ID HACCP muab kev tso cai rau cov khoom siv pab hnov lus thiab cov kev pabcuam?
No, enrollment and ID card reflect program acceptance; TAR approval is still required.
6. Puas yog daim ntawv tso cai khi rau ib lub chaw tshwj xeeb rau txhua yam kev pabcuam lossis tus neeg mob / tsev neeg puas tuaj yeem nrhiav kev pabcuam sib txawv ntawm ntau lub chaw sib txawv? Yog tias yog li ntawd, cov tsev neeg puas hloov tau cov neeg muab kev pab?
The provider who submits the TAR and receives the TAR authorization must also be the provider to submit the claim. If the client changes providers, the new provider must submit a new TAR for any further hearing aid(s) and supplies.
7. Lub sijhawm rau kev tshuaj xyuas TAR yog dab tsi?
DHCS cia siab tias yuav teb rau feem ntau TARs hauv 30 hnub tom qab tau txais.
8. Puas muaj daim ntawv teev cov lej uas xav tau TAR?
Yog xav tau daim ntawv teev cov cai txheej txheem uas tau them thiab cov kev cai TAR uas siv tau, thov saib phau ntawv qhia HACCP Provider Manual.
9. Cov neeg muab kev pab yuav tsum ua li cas thiaj paub tseeb tias cov txiaj ntsig tau siv tau lossis cov khoom siv pab hnov lus tsis tau muab los ntawm lwm tus neeg muag khoom ua rau tus neeg mob tsis tsim nyog tau txais cov khoom siv pab hnov lus tshiab kom txog thaum cov khoom siv pab hnov lus tam sim no siv tau tas li?
Cov kws kho mob tuaj yeem kuaj xyuas AEVS kom paub meej tias tus neeg mob tsim nyog HACCP. Cov kev thov cov khoom siv pab hnov lus zoo sib xws yuav raug tshem tawm los ntawm cov txheej txheem TAR. Yog tias tus neeg mob muaj daim npav ID HACCP tab sis tseem tsis tau tuaj rau hauv AEVS, thov hu rau HACCP Help Center kom paub meej tias koj tau sau npe tam sim no.
10. Puas yuav muab daim ntawv tso cai ua ib pawg (zoo ib yam li CCS' SCG 04)?
No. However, multiple requests for the same patient and billing provider may be included as separate line items within the same eTAR submittal.